Abstract：ObjectiveTo investigate the effect of electroacupuncture and acupuncture on the gastric motility in critically ill patients by ultrasound.MethodsFortyfive patients admitted to the ICU department of the first hospital of Jiaxing city from January 2015 to July 2016 were randomly divided into conventional group (CG,n=15),acupuncture group (AG,n=15),and electroacupuncture group (EAG,n=15),respectively.Acupuncture or EA was performed on bilateral Zusanli (ST36),Shangjuxu (ST-37),Hegu (LI-4),and Quchi (LI-11) respectively.By using a single transverse section of gastric antrum with a Phillips ultrasound system,changes of antral contraction frequency (ACF) and antral contraction amplitude (ACA) were recorded and calculated.ResultsCompared to CG,ACF of AG and EAG at 1h after water injection ［CG(1.02±0.35)times/min,AG(1.33±0.44)times/min,EAG(1.83±0.40)times/min］,3h［CG(0.95±0.51)times/min,AG(1.23±0.51)times/min,EAG(1.57±0.46)times/min］and 6h ［CG（0.88±0.39）times/min,AG(1.15±0.34)times/min,EAG（1.52±0.33）times/min］were significantly faster,the differences were statistically significant (F=15.79,5.93,12.33，all P<0.05).In AG,ACF at 1h after water injection increased from (1.00±0.36)times/min to (1.33±0.44)times/min,the difference was statistically significant (t=6.30,P<0.05).In EAG,compared to the time point before water injection ［(1.02±0.35) times/min］,ACF at 1h ［(1.83±0.40)times/min］,3h ［(1.57±0.46)times/min］and 6h ［(1.52±0.33) times/min］ after water injection increased significantly (t=36.60,14.16,17.22,all P<0.05).ConclusionsSingle transverse section of gastric antrum by ultrasound is an effective method to detect gastric motility.Acupuncture and EA can improve the gastric motility of critically ill patients,and that EA maintains a longer time.
徐明民1郁慧杰2陈峰3施云超2. 超声评估针刺对危重病患者胃动力影响的研究[J]. 中华诊断学电子杂志, 2017, 5(4): 248-252.
Xu Mingmin1,Yu Huijie2,Chen Feng3,Shi Yunchao2. Assessment of electroacupuncture and acupuncture on the gastric motility in critically ill patients by ultrasound. zhzdx, 2017, 5(4): 248-252.
